Provider Demographics
NPI:1558595157
Name:AEROSOL PLUS, INC.
Entity Type:Organization
Organization Name:AEROSOL PLUS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WERNER
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-795-6452
Mailing Address - Street 1:792 FOLLY RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-3476
Mailing Address - Country:US
Mailing Address - Phone:843-408-4307
Mailing Address - Fax:866-489-2738
Practice Address - Street 1:19295 N 3RD ST
Practice Address - Street 2:SUITE 2
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-8897
Practice Address - Country:US
Practice Address - Phone:985-231-5225
Practice Address - Fax:866-945-5380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-11
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1823724Medicaid
LA1823724Medicaid